Healthcare Provider Details

I. General information

NPI: 1184483448
Provider Name (Legal Business Name): LV KIDS BEHAVIOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 NW 10TH TER STE 508
OAKLAND PARK FL
33309-5942
US

IV. Provider business mailing address

3221 NW 10TH TER STE 508
OAKLAND PARK FL
33309-5942
US

V. Phone/Fax

Practice location:
  • Phone: 305-833-8477
  • Fax: 305-468-6379
Mailing address:
  • Phone: 305-833-8477
  • Fax: 305-468-6379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LISNET ROSSEL HERRADA
Title or Position: PRESIDENT
Credential: BCBA
Phone: 305-833-8477